ENPC 6th Edition Pre-Exam
Answers
1. A 14-year-old patient sustained a displaced fracture
of the radius and ulna after falling from a bicycle.
Which of the following pain control interventions is
most likely to result in improvement in symptoms
related to pain?
• Answer: Applying a splint to the affected
extremity
2. Assessment of the fontanelle provides the most
useful information for which two components of
the primary survey?
• Answer: Circulation and disability
3. A 6-month-old is seen for a recurrent respiratory
infection. During the assessment, the mother adds
that the patient’s stools seem to be fatty or
“greasy”. Which of the following disease processes
would be a primary concern for this child?
• Answer: Cystic fibrosis
4. A 4-day-old who is brought to the emergency
department with the parental complaint of “not
acting right” is found to be hypoglycemic. What is
the appropriate glucose concentration to
administer to this neonate?
• Answer: Dextrose 10%
5. Which of the following indicates the need for
additional caregiver education regarding a urinary
tract infection?
• Answer: My child will grow out of their
frequent urinary tract infections.
6. You need to draw blood from a 2-year-old. Which of
the following is the best approach for this patient?
• Answer: Have them watch a cartoon on an I-
pad or cell phone
,7. The caregiver of a 2-month-old infant states the
patient has had trouble breathing for the past two
days. Pediatric assessment triangle (PAT) reveals an
age-appropriate general appearance, rapid
breathing with mild distress, and pink skin. Mucous
is noted in both nares. Which of the following is the
best next step?
• Answer: Suction nasal passages using a bulb
syringe
8. An ambulance arrives with a 16-year-old male
involved in a dirt bike crash who was intubated
prior to arrival. Which of the following is the priority
assessment or intervention?
• Answer: Assess endotracheal tube placement
9. Which of the following patients should be
evaluated first?
• Answer: An 18-month-old with bilious emesis
10.A nurse providing trauma informed care to the
family of a seriously ill child should be doing which
of the following?
• Answer: Appointing one staff member to stay with the
family
11. What is the priority intervention for symptomatic
bradycardia in a four-year-old child?
• Answer: Initiate bag-mask ventilation
12. A three-year-old is rescued after being submerged
in a pool for several minutes. On arrival the patient
is responsive to painful stimuli with shallow
respirations, diminished breath sounds, and an
occasional cough. Which of the following
interventions is the initial management priority?
• Answer: Endotracheal intubation to provide positive
pressure ventilation
13. A 5-year-old child presents to the emergency
department after being hit by a car. The patient
complains of left upper quadrant pain, and the
, focused assessment with sonography for trauma
(FAST) exam shows fluid around her spleen. Which
of the following findings would be an early
indication of ongoing blood loss?
• Answer: Weak peripheral pulses
14.Which of the following is a known cause of
pediatric seizures?
• Answer: Overdiluted formula
15. For the infant, what duration of time is considered
apneic?
• Answer: 20 seconds
16. For the infant, what duration of time is considered
apneic?
• Answer: 20 seconds
17. A 9-month pregnant woman presents to the
emergency department and delivers a term
neonate vaginally. The neonate is dried and
stimulated and the mouth and nose are suctioned
using a bulb syringe. After repositioning the head,
the neonate remains limp and apneic and the HR is
80 beats/minute. What is the priority intervention?
• Answer: Initiate positive pressure ventilation
18.A 5-year-old with no health problems presents to
the emergency department with a sudden onset of
chest pain and shortness of breath. Parents state
that the family was involved in a bad car crash one
week ago. A thorough assessment and workup has
not revealed any abnormalities. Which of the
following the best next step to take?
• Answer: Ask about any new bed-wetting or sleep
disturbances
19. A 3-month-old is brought to the emergency
department with new onset of fever. You note the
child to be pale, tachypneic, and tachycardic, with
weak distal pulses. Which intervention is the
priority for this patient?
Answers
1. A 14-year-old patient sustained a displaced fracture
of the radius and ulna after falling from a bicycle.
Which of the following pain control interventions is
most likely to result in improvement in symptoms
related to pain?
• Answer: Applying a splint to the affected
extremity
2. Assessment of the fontanelle provides the most
useful information for which two components of
the primary survey?
• Answer: Circulation and disability
3. A 6-month-old is seen for a recurrent respiratory
infection. During the assessment, the mother adds
that the patient’s stools seem to be fatty or
“greasy”. Which of the following disease processes
would be a primary concern for this child?
• Answer: Cystic fibrosis
4. A 4-day-old who is brought to the emergency
department with the parental complaint of “not
acting right” is found to be hypoglycemic. What is
the appropriate glucose concentration to
administer to this neonate?
• Answer: Dextrose 10%
5. Which of the following indicates the need for
additional caregiver education regarding a urinary
tract infection?
• Answer: My child will grow out of their
frequent urinary tract infections.
6. You need to draw blood from a 2-year-old. Which of
the following is the best approach for this patient?
• Answer: Have them watch a cartoon on an I-
pad or cell phone
,7. The caregiver of a 2-month-old infant states the
patient has had trouble breathing for the past two
days. Pediatric assessment triangle (PAT) reveals an
age-appropriate general appearance, rapid
breathing with mild distress, and pink skin. Mucous
is noted in both nares. Which of the following is the
best next step?
• Answer: Suction nasal passages using a bulb
syringe
8. An ambulance arrives with a 16-year-old male
involved in a dirt bike crash who was intubated
prior to arrival. Which of the following is the priority
assessment or intervention?
• Answer: Assess endotracheal tube placement
9. Which of the following patients should be
evaluated first?
• Answer: An 18-month-old with bilious emesis
10.A nurse providing trauma informed care to the
family of a seriously ill child should be doing which
of the following?
• Answer: Appointing one staff member to stay with the
family
11. What is the priority intervention for symptomatic
bradycardia in a four-year-old child?
• Answer: Initiate bag-mask ventilation
12. A three-year-old is rescued after being submerged
in a pool for several minutes. On arrival the patient
is responsive to painful stimuli with shallow
respirations, diminished breath sounds, and an
occasional cough. Which of the following
interventions is the initial management priority?
• Answer: Endotracheal intubation to provide positive
pressure ventilation
13. A 5-year-old child presents to the emergency
department after being hit by a car. The patient
complains of left upper quadrant pain, and the
, focused assessment with sonography for trauma
(FAST) exam shows fluid around her spleen. Which
of the following findings would be an early
indication of ongoing blood loss?
• Answer: Weak peripheral pulses
14.Which of the following is a known cause of
pediatric seizures?
• Answer: Overdiluted formula
15. For the infant, what duration of time is considered
apneic?
• Answer: 20 seconds
16. For the infant, what duration of time is considered
apneic?
• Answer: 20 seconds
17. A 9-month pregnant woman presents to the
emergency department and delivers a term
neonate vaginally. The neonate is dried and
stimulated and the mouth and nose are suctioned
using a bulb syringe. After repositioning the head,
the neonate remains limp and apneic and the HR is
80 beats/minute. What is the priority intervention?
• Answer: Initiate positive pressure ventilation
18.A 5-year-old with no health problems presents to
the emergency department with a sudden onset of
chest pain and shortness of breath. Parents state
that the family was involved in a bad car crash one
week ago. A thorough assessment and workup has
not revealed any abnormalities. Which of the
following the best next step to take?
• Answer: Ask about any new bed-wetting or sleep
disturbances
19. A 3-month-old is brought to the emergency
department with new onset of fever. You note the
child to be pale, tachypneic, and tachycardic, with
weak distal pulses. Which intervention is the
priority for this patient?
